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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-119-section-2.pdf
June 02, 2025 - qualifying temperature (usually the
first temperature after arrival to the Level 2 or higher nursery) falls … Each is
determined by the number of children whose reported temperature falls within
the criteria for
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module2/module2_managingchange_slides.pptx
June 02, 2025 - Process
Change process strategies can be applied to other quality improvement (QI) efforts:
Hospital falls
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www.ahrq.gov/funding/training-grants/r36.html
November 01, 2023 - When a postmark/submission date falls on a weekend or Federal holiday, the application deadline is automatically
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/early-mobility-icu-slides.pptx
January 01, 2017 - Mechanically Ventilated Patients
Adverse Events4
9 patients had 14 adverse events (<1% of activities)
Falls … Safety
Adverse events ranged from agitation to transient physiological events to dislodgements and to falls … (none of the falls were considered serious)
Adverse events ranged from 2.3 to 8.7 per 100 patients3-
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/multidiscplinary-rounding.pdf
April 01, 2022 - healthcare-associated infection prevention efforts
• Performance improvement specialist – safety, pressure injury, and falls
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www.ahrq.gov/hai/cauti-tools/impl-guide/implementation-guide-appendix-l.html
October 01, 2015 - infection, immobility (Foley is considered a "one-point restraint), hospital-acquired pressure ulcers, falls
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/gdmodap2b.html
October 01, 2014 - Falls Prevention
Appendix 1-A. Suggested Slides for Module 1
Appendix 1-B.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Campbell-R_106.pdf
April 14, 2008 - Administration (VHA) proactive medication safety surveillance studies as part of its
research focus on patient falls … It has established an international reputation in the areas of falls and safe
patient handling and movement … Because of the recognized chance of certain medications to
increase the risk of injurious falls in the … reconcile medications across the
continuum of care and to reduce the risk of patient harm resulting from falls … Drugs and
falls in community-dwelling older people: A national
veterans study.
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www.ahrq.gov/hai/pfp/haccost2017-discuss.html
November 01, 2017 - 0.079)
0.023
CLABSI
$48,108 ($27,232–$68,983)
$18,537
0.150 (0.070–0.270)
0.185
Falls … While the estimation of additional cost per HAC remained stable for ADE, falls, and SSI, we did observe
-
www.ahrq.gov/opioids/health-systems-research.html
July 01, 2021 - older adults who experienced common side effects from opioids (such as constipation, confusion, nausea, falls
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www.ahrq.gov/patient-safety/settings/multiple/index.html
August 01, 2023 - The toolkit addresses approaches to desgin tat target six areas of safety: infections, falls, medication
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Kizer1.pdf
April 01, 2004 - Use of identification bracelets to alert providers of patients who are susceptible to falls.
2. … Use of specialized hospital flooring to reduce injury from patient falls.
3. … Use of medical device alarms to prevent falls.
12. … shield hip protectors padded or constructed with foam-type
materials to prevent harm from patient falls
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www.ahrq.gov/professionals/quality-patient-safety/patientsafetyculture/medical-office/2014/mosurv14chap6.html
June 01, 2014 - If your medical office's score is 55 percent positive, it falls above the 75th percentile (but below … If your medical office's score is 65 percent positive, it falls above the 90 th percentile, meaning
-
www.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK2_T2-Antibiotic_Pocket_Cards.pdf
May 01, 2014 - Nonspecific symptoms or signs not referable to the urinary
tract, such as falls or mental status change
-
www.ahrq.gov/sites/default/files/2025-02/mcneil-report.pdf
January 01, 2025 - Final Progress Report: The National Quality Forum Fall Policy Conference 2008
The National Quality Forum
Fall Policy Conference 2008
Principal Investigator: Dwight McNeil
Team Members: S. Callahan, L. Gorban,
D. McNeill, and B. Yelin
9/30/08-9/29/09
Federal Project Official: Karen Ho
Supported by: Agen…
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/evidence-based-reports/services/quality/patientsftyupdate/ptsafetysum.pdf
March 01, 2013 - safety problems that occur approximately once per 100
hospitalizations as “common;” examples include falls … The scope must also consider the severity of each event;
for instance, most falls do not result in injury … radiation exposure or to help prevent stress-related
gastrointestinal bleeding; and moderate, for PSPs falling … Moderate
Safety Practices for Hospitalized Elders
Multicomponent interventions to prevent
in-facility falls … Encouraged patient safety practices
• Multicomponent interventions to reduce falls
• Use of clinical
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www.ahrq.gov/research/findings/final-reports/index.html?page=11
January 01, 2024 - Culture Publication Date: September 2011
Call Light Responsiveness and Effect on Inpatient Falls
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/sampleransferandintakenotes.pdf
June 02, 2025 - AHRQ’s Safety Program for Nursing Homes: On-Time
Preventable Hospital and Emergency Department Visits
Transfer Note and Intake Note
Transfer Notes and Intake Notes are not required, but the elements included in them must be in
the nursing home’s electronic medical record (EMR) to generate all components of the re…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Mohr.pdf
February 01, 2004 - reported in several domains: prevention,
diagnosis, treatment, patient identification, communication, falls … diagnostic, medication related, surgically
related, aftercare related, other medical treatment related
Falls … Patient falls within the clinic setting
Equipment Equipment maintenance, functioning, availability … (13)
Medical treatment 56 (38)
Patient identification 4 (3)
Communication to patient 12 (8)
Falls … (Problem type: Communication)
Falls “Pt. got tetanus shot. Claimed to be OK after.
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/find5.html
December 01, 2012 - with the largest State range in percentage terms are Short-Term Complications of Diabetes, Injurious Falls … Preventable Infections Composite, Bacterial Pneumonia, ACSC Acute Conditions Composite, and Injurious Falls … in the Medicaid-only population are always higher than for whites and Hispanics except in Injurious Falls … In contrast to the dually eligible, Hispanics in this population do not exhibit lower rates, falling